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目的:为了对腹部创伤病人的临床治疗提供有用信息,回顾性分析了98例腹部创伤病人的CT表现。方法:全部病例均作了CT扫描,范围从膈顶至肾脏下极。结果:腹部创伤以实质脏器撕裂伤和挫伤为多,其次为包膜下血肿及实质内血肿。腹膜后血肿往往合并于肾脏损伤。腹腔积血主要分布于肝脾周、双侧结肠旁沟、Morison囊。经增强扫描证实肝左动脉及左肾动脉损伤各1例。结论:CT扫描对于确定损伤脏器、腹腔积血量及腹膜后血肿定位极为准确,可为临床诊断和治疗提供重要信息。
OBJECTIVE: To provide useful information for the clinical treatment of patients with abdominal trauma, the CT findings of 98 cases of abdominal trauma were retrospectively analyzed. METHODS: CT scans were performed in all cases, ranging from the diaphragm top to the lower pole of the kidney. Results: Abdominal trauma in real organs laceration and contusion as much, followed by subintimal hematoma and intracranial hematoma. Retroperitoneal hematoma is often combined with kidney damage. Celiac hemorrhage is mainly distributed in the liver and spleen, bilateral colonic gtomania, Morison capsule. Enhanced scan confirmed liver left artery and left renal artery injury in 1 case. Conclusion: CT scan is very accurate for determining the position of visceral injury, peritoneal hemorrhage and retroperitoneal hematoma. It can provide important information for clinical diagnosis and treatment.